Brock LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BROCK LLC

Practice address

13685 Eureka Rd
Southgate, MI 48195-1332

Phone

(734) 984-3620

NPI assigned

Sep 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandon Brock, DC

Title

Owner

Phone

(734) 301-5120

Specialties & licenses 1

Addresses

Other names 1

• Ascension Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1619649738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31430 LAVENDER DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481738743",
            "telephone_number": "734-301-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13685 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951332",
            "telephone_number": "734-984-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-301-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charelle Janiece Brewer
• Coretta Diane Bridges, LMSW
• Paige Britcher
• Delphine Ginzell Britt, LBSW
• Felicia Broadnax
• Brandon Brock, DC
• Judith Helene Brohman, MA LLP
• Deneisha Elizabeth Brooks, LMSW
• Marchelle Brooks
• Riley Brooks

• Clinic/Center in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.